Cryptomarket drug acquisition leading to furanyl fentanyl overdose
Fentanyl and its analogs are used to produce extremely potent drugs that are fueling striking increases in US overdose deaths. Surveillance for these fentanyl analogs is challenging due to limitations of currently available drug testing; additionally, users are frequently unaware of the individual opioids to which they are exposed in overdose . Online cryptomarkets facilitate the purchase of high-potency opioids by individuals who are seeking to conceal their drug purchases from law enforcement; new strategies to obscure these transactions allow individuals to obtain home delivery of illicit opioids via the United States Postal Service.
A previously healthy 23-year-old man was found unresponsive in bed. First responders observed symptoms consistent with opioid toxicity; they immediately administered supplemental oxygen and 4 mg of intramuscular (IM) naloxone. Following naloxone administration, the patient awoke, becoming tremulous and tachycardic (180beats/min). He...
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Conflict of interest
The authors have no financial or other relationships that could lead to a conflict of interest.
Informed consent was obtained from the patient involved in this study, subject to proviso that every item related to his privacy will be anonymous.
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